Sovereign Therapy Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SOVEREIGN THERAPY CENTER, LLC

Practice address

3867 Holcomb Bridge Rd Ste 400
Peachtree Corners, GA 30092-2232

Phone

(678) 421-4351

NPI assigned

Jun 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. April A McRae, SLP.D.,CCC-SLP

Title

Speech Language Pathologist/Ceo

Phone

(678) 421-4351

Specialties & licenses 6

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502582400000",
    "number": "1730619263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 PEACHTREE ST NE STE B-509",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "678-421-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 HOLCOMB BRIDGE RD STE 400",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922232",
            "telephone_number": "678-421-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-08-13",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/CEO",
        "authorized_official_telephone_number": "678-421-4351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLP.D.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.